Dioni Alicia Rovello Freking, ACNP-BC in Los Angeles, CA

Dioni Alicia Rovello Freking, ACNP-BC is a medicare enrolled "Nurse Practitioner" in Los Angeles, California. Her current practice location is 1510 San Pablo St, Suite 200, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 865-1241.

Dioni Alicia Rovello Freking is licensed to practice in California (license number 11058) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205267911.

Contact Information

	Dioni Alicia Rovello Freking, ACNP-BC
	1510 San Pablo St, Suite 200, Los Angeles, CA 90033-5320
	(323) 865-1241
	Not Available

Map and Direction

Provider's Profile

Full Name	Dioni Alicia Rovello Freking
Gender	Female
Speciality	Nurse Practitioner
Location	1510 San Pablo St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205267911
Provider Enumeration Date: 12/05/2013
Last Update Date: 12/13/2021

Medicare PECOS Information:

PECOS PAC ID: 5092939835
Enrollment ID: I20140617001092

Medical Identifiers

Medical identifiers for Dioni Alicia Rovello Freking such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205267911	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	495353 (California)	Secondary
363L00000X	Nurse Practitioner	11058 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dioni Alicia Rovello Freking allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Usc Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dioni Alicia Rovello Freking is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dioni Alicia Rovello Freking, ACNP-BC 1510 San Pablo Street, 2nd Floor, Los Angeles, CA 90031-0309 Ph: (323) 865-1241	Dioni Alicia Rovello Freking, ACNP-BC 1510 San Pablo St, Suite 200, Los Angeles, CA 90033-5320 Ph: (323) 865-1241

Reviews and Comments

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Dioni Alicia Rovello Freking, ACNP-BC - Medicare Nurse Practitioner in Los Angeles, CA